Early screening for post-stroke depression and its effect on functional outcomes, quality of life, and mortality: A meta-analysis.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2024-09-19 DOI:10.5498/wjp.v14.i9.1397

Jie Dai, Sha-Sha Zhao, Su-Xiang Zhang

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Abstract

Background: Post-stroke depression (PSD) is a common and debilitating condition affecting stroke survivors, significantly impacting their recovery and overall quality of life.

Aim: To assess the effects of early PSD screening on functional outcomes, quality of life, and mortality.

Methods: From an initial pool of 1065 articles, 6 studies met the inclusion criteria and were selected for analysis. Functional outcomes were measured using the functional independence measure (FIM).

Results: The analysis revealed a significant improvement in FIM scores for a PSD screening group compared to controls [standardized mean difference (SMD) = 8.90, 95% confidence interval (CI): 4.65-13.15, P < 0.01]. Quality of life was assessed using the Stroke-Specific Quality of Life Scale, with the screening group showing significantly higher scores (SMD = 20.83, 95%CI: 15.27-26.38, P < 0.01). Mortality analysis indicated a reduction in five-year mortality rates for the PSD screening group.

Conclusion: Early PSD screening enhances functional recovery, improves quality of life, and reduces mortality rates in stroke survivors. Thus, integrating PSD screening into routine stroke care improves long-term outcomes for patients.

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卒中后抑郁的早期筛查及其对功能预后、生活质量和死亡率的影响：荟萃分析。

背景：目的：评估早期 PSD 筛查对功能预后、生活质量和死亡率的影响：从最初的 1065 篇文章中筛选出 6 项符合纳入标准的研究进行分析。功能结果采用功能独立性测量法（FIM）进行测量：分析结果显示，与对照组相比，PSD筛查组的FIM评分有明显改善[标准化平均差（SMD）=8.90，95%置信区间（CI）：4.65-13.15，P<0.01]。生活质量采用卒中生活质量量表（Stroke-Specific Quality of Life Scale）进行评估，筛查组的得分明显更高（SMD = 20.83，95% 置信区间（CI）：15.27-26.38，P <0.01）。死亡率分析表明，PSD筛查组的五年死亡率有所下降：结论：早期 PSD 筛查可促进中风幸存者的功能恢复、改善生活质量并降低死亡率。因此，将 PSD 筛查纳入常规卒中护理可改善患者的长期预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567